Provider Demographics
NPI:1508510983
Name:BANKS, JAMIE ELAINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:ELAINE
Last Name:BANKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12134 SUNSET MEADOW LN UNIT 960
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4060
Mailing Address - Country:US
Mailing Address - Phone:832-566-1187
Mailing Address - Fax:
Practice Address - Street 1:12134 SUNSET MEADOW LN UNIT 960
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4060
Practice Address - Country:US
Practice Address - Phone:832-566-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator